Organization
EASTERN AVENUE SOBER LIVING INC
Active
Other names
Eastern Avenue Sober Living Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON PRESSLEY ADMINISTRATOR (BOARD PRESIDENT)
(185) 953-9410
Entity
Organization
Contact information
Practice address
208 EASTERN AVE, LEXINGTON, KY 40508-1918
(754) 226-5343
Mailing address
113 MASTERSON STATION DR, LEXINGTON, KY 40511-8736
(859) 539-4106
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100698150
—
KY
Enumeration date
01/04/2021
Last updated
12/10/2021
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